Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler P Kelly, NP

Individual provider Family Nurse Practitioner · NPI 1962818864

Tyler P Kelly, NP is a Nurse Practitioner in Avon, Indiana. Qualified in 2014, 12 years ago. Practices with Indiana University Radiology Associates Inc, a 219-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

120 Avon Market Pl Ste 100
Avon, IN 46123-6021
Phone: (317) 396-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 555 E County Line Rd Ste 202, Greenwood, IN 46143-1063 — (317) 396-1300
  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-6793

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71005109A (IN)

Record details

NPI number1962818864
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Indiana University Radiology Associates Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Avon